Charles Bonnet syndrome with peripheral and central findings

The Charles Bonnet syndrome comprises complex vivid visual hallucinations without significant psychopathology or disturbed consciousness and has been known for several hundred years. A consensus is lacking whether eye and brain disease are necessary or exclusionary criteria for this syndrome. We describe the recent onset of complex and vivid visual hallucinations in a 73-year-old man with macular degeneration and a history of recurrent major depression. We discuss ophthalmologic and radiographic findings in the context of syndrome cause.